Maintenance and promotion of patient dignity is an ethical responsibility of healthcare workers. The aim of this study was to investigate patient dignity and related factors in patients with heart failure. In this qualitative study, 22 patients with heart failure were chosen by purposive sampling and semi-structured interviews were conducted until data saturation. Factors related to patient dignity were divided into two main categories: patient/care index and resources. Intrapersonal features (inherent characteristics and individual beliefs) and interpersonal interactions (communication, respect, enough information, privacy, and authority) were classified as components of the patient/care index category. Human resources (management and staff) and environmental resources (facilities and physical space) were classified as components of the resources category. The results will increase healthcare staff's understanding of patient dignity and its related factors, and provide information regarding the development of systems and processes that support patients in ways that are consistent with these values.
Faith-PrattHNancyTLindseyM. The lived experience of heart failure at the end of life: A systematic literature review. Health Soc Work2010; 35: 109–117.
2.
YuDSFLeeDTFKwongANTThompsonDRWooJ.Living with chronic heart failure: A review of qualitative studies of older people. J Advan Nurs2008; 61: 474–483.
3.
VerdianiVOgnibeneARutiliMS. NT-ProBNP reduction percentage during hospital stay predicts long-term mortality and readmission in heart failure patients. J Cardiovasc Med (Hagerstown, MD)2008; 9: 694–699.
4.
RahnavardZZolfaghariMKazemnejadAHatami-poorKh. An investigation of quality of life and factors affecting it in the patients with congestive heart failure. Hayat2006; 1: 77–86.
SantosJJPlewkaJEBrofmanPR. Quality of life and clinical indicators in heart failure: A multivariate analysis. Arq Bras Cardio2009; 93: 159–166.
7.
ZambroskiCHMoserDKBhatGZieglerC. Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. Eu J Cardiovas Nurs2005; 4: 198–206.
8.
WingateSWiegandDLM. End-of-life care in the critical care unit for patients with heart failure. Crit Care Nurse2008; 28: 84–96.
9.
PihlEFridlundBMartenssonJ. Patients’ experiences of physical limitations in daily life activities when suffering from chronic heart failure; A phenomenographic analysis. Scand J Caring Sci2010; 25: 3–11.
10.
MollyGYJohnstonDWWithamMD. Family care giving and CHF. Eur J Heart Fail2005; 7: 592–603.
11.
ChochinovHMKrisjansonLJHackTF. Dignity in the terminally ill: Revisited. J Palliat Med2006; 9: 666–672.
12.
Corvera-TindelTDoeringLVAqulinoCRoperJDracupK.The role of physical functioning and depression in quality of life in patients with heart failure. J Card Fail2003; 9: 55.
13.
CortisJDWilliamsA. Palliative and supportive needs of older adults with heart failure. Int Nurs Rev2007; 54: 263–270.
14.
NordgrenLAspMFagerbergI. An exploration of the phenomenon of formal care from the perspective of middle-aged heart failure patients. Eur J Cardiovas Nurs2007; 6: 121–129.
15.
WalshKKowankoI. Nurses’ and patients’ perceptions of dignity. Int J Nurs Pract2002; 8: 143–151.
16.
LamKK. Dignity, respect for dignity, and dignity conserving in palliative care. Hong Kong Soc Palliat Med2007; 3: 30–35.
17.
BaillieL. Patient dignity in an acute hospital setting: A case study. Int J Nurs Stud2009; 46: 23–37.
18.
HsiehHFShannonSE. Three approaches to qualitative content analysis. Qual Health Res2005; 15: 1277–1288.
19.
RaphaelCBriscoeCDaviesJ. Limitations of the New York Heart Association functional classification system and self-reported walking distances in chronic heart failure. Heart2007; 93: 476–482.
20.
JacobsonN. Dignity and health: A review. Soc Sci Med2007; 64: 292–302.
21.
WainwrightPGallagherA. On different types of dignity in nursing care: a critique of Nordenfelt. Nurs Philos2008; 9: 46–54.
22.
WoolheadGCalnanMDieppePTaddW. Dignity in older age: what do older people in the United Kingdom think?Age Ageing2004; 33: 165–170.
23.
JacelonCSConnellyTWBrownRProulxKVoT. A concept analysis of dignity for older adults. J Adv Nurs2004; 48: 76–83.
24.
PleschbergerS. Dignity and the challenge of dying in nursing homes: The residents’ view. Age Ageing2007; 36: 197–202.
25.
SulmasyDP. At wit's end: Forgiveness, dignity, and the care of the dying. J Gen Intern Med2001; 16: 335–338.
26.
WidangIFridlundB. Self-respect, dignity and confidence: Conceptions of integrity among male patients. J Adv Nurs2003; 42: 47–56.
27.
BerglundBAnne-CathrineMRandersI. Dignity not fully upheld when seeking health care: Experiences expressed by individuals suffering from Ehlers–Danlos syndrome. Disabil Rehabil2010; 32: 1–7.
28.
SlettebACaspariSLohneVAasgaardTNadenD. Dignity in the life of people with head injuries. J Adv Nurs2009; 65: 2426–2433.
29.
SundinKBruceEBarremoAS. Elderly women’s experiences of support when living with congestive heart failure. Int J Qual Stud Health Well-being2010; 5: 5064.
30.
MatitiMRTroreyGM. Patients’ expectations of the maintenance of their dignity. J Clin Nurs2008; 17: 2709–2717.
31.
ThompsonGNChochinovHM. Dignity-based approaches in the care of terminally ill patients. Curr Opin Support Palliat Care2008; 2: 49–53.
32.
DawoodMGalliniA. Using discovery interviews to understand the patient experience. Nurs Manag2010; 17: 26–31.
33.
MannJ. Dignity and health: The UDHR’s revolutionary first article. Health Hum Rights1998; 3: 31–38.
34.
GallagherASeedhouseD. Dignity in care: the views of patients and relatives. Nurs Times2002; 98: 38–40.
35.
ChochinovHMHackTMcClementSKristjansonLHarlosM. Dignity in the terminally ill: A developing empirical model. Soc Sci Med2002; 54: 433–443.
36.
WoolheadGTaddWBoix-FerrerJA. Tu or Vous?: A European qualitative study of dignity and communication with older people in health and social care settings. Patient Educ Couns2006; 61: 363–371.
37.
HendersonAVanMAPearsonK. Maintenance of patients’ dignity during hospitalization: Comparison of staff–patient observations and patient feedback through interviews. Int J Nurs Pract2009; 15: 227–230.
38.
WadenstenBAhlstrimG. The struggle for dignity by people with severe functional disabilities. Nurs Ethics2009; 16: 453–465.
39.
StabellANadenD. Patients’ dignity in a rehabilitation ward: Ethical challenges for nursing staff. Nurs Ethics2006; 13: 236–248.
